| NPI | 1982163861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME163833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 333698) |
| 207R00000X Internal Medicine (Licence: FL ME163833) | |
| 208000000X Pediatrics (Licence: LA 333698) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2023-11-10 |